The NHS estate is under growing pressure. Ageing infrastructure, rising demand and constrained budgets are making it increasingly difficult to keep buildings safe, compliant and fit for modern care.
The scale of the challenge is huge. Indeed, national backlog maintenance reached £15.9bn in 2024/25 according to NHS England. At the same time, expectations are shifting. Estates must support new models of care, digital delivery and net zero targets, all while remaining operational day-to-day.
Balancing today’s needs with tomorrow’s requirements is one of the hardest challenges facing estates leaders, particularly against a changing backdrop shaped by financial pressures, ICB mergers and system changes.
That’s why, as your strategic estates partner, we’re sharing our expertise with you. From developing your maintenance strategies and ensuring compliance, to engaging your workforce and improving data quality.
So you can protect the value of your estate. And crucially, support better outcomes for patients and colleagues.
Our new guide, Maintaining the NHS Estate, provides clear, actionable guidance to support better decisions on maintenance, compliance and long-term planning.
The guide is structured around the key challenges facing estate leaders today, including:
Read the NHS Estate Funding Guide and other resources to unlock 8 different funding sources.
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Read our NHS Estate Optimisation Guide to get step-by-step guidance on assessing and adapting your spaces.
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How can we deliver neighbourhood healthcare at pace and in a capital-constrained landscape?
Download the guide